KENDALL CHRISTIDIS
NPI 1124748405
Nurse Practitioner - Pediatrics in Beloit, WI

Q: What is Kendall Christidis's NPI number?

The NPI number for Kendall Christidis is 1124748405. It was assigned to this individual provider in the NPPES registry on August 29, 2022.

Q: What is Kendall Christidis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Active since August 29, 2022PECOS Enrolled

74 ECLIPSE CTR, BELOIT, WI 53511(608) 361-0311(608) 361-0312 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 8, 2022, Aug 29, 2022 (2 updates tracked since 2022).

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About Kendall Christidis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENDALL CHRISTIDIS (NPI 1124748405) is an individual pediatrics provider in Beloit, Wisconsin, licensed in Wisconsin (14537-33) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124748405

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameKENDALL CHRISTIDIS

Location Address74 ECLIPSE CTRBeloit, WI 53511-3550

Mailing Address74 Eclipse CtrBeloit, WI 53511-3550 · (608) 361-0311 · Fax (608) 361-0312

Phone(608) 361-0311

Fax(608) 361-0312

Sole ProprietorNo

Enumeration DateAugust 29, 2022

Last NPPES UpdateJanuary 30, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 30, 2024

✔ NPI 1124748405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

Licenses✔ Licensed in WI · 14537-33✔ Licensed in IL · 209025846

74 ECLIPSE CTR, Beloit, WI 53511

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MercyCare Health Plans, Quartz.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kendall Christidis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53511 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MIHAELA POPA D.M.D.

Dentist (General Practice)